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1235704552
NICOLE L LOGAN
CLEVELAND, OH
NPI
1235704552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 176200)
Enumeration Date
2021-05-20
Last Update Date
2021-05-20
Business Address
NICOLE L LOGAN
3214 PROSPECT AVE E
CLEVELAND, OH 44115-2614
Phone number: 216-910-9015
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Mailing Address
NICOLE L LOGAN
34474 SCOTCH LN APT 4
WILLOUGHBY HILLS, OH 44094-2991
Phone number: 770-369-3510
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